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NR503 Week 1, 2, 3 Talking Points
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8/31/24, 2:47 NR503 Final ExamPM Review
How does culture influence the decisions a provider may make when selecting an
intervention?
Learning about one’s culture and assessing epidemiological patterns of health and
illness across the lifespan facilitates the nurse practitioner's ability to focus on health
initiatives and formulate plans of care leading to behavioral change and sustainable
quality health and lifestyle outcomes. Religion, culture, beliefs, and ethnic customs can
influence how pts understand health concepts, how they take care of their health, and
how they make decisions related to their health. Without proper training, clinicians may
deliver medical advice without understanding how health beliefs and cultural practices
influence how advice is received. Asking about pts’s religions, cultures, and ethnic
customs can help clinicians engage pts so that, together, they can devise treatment plans
that are consistent with the pt’s values.
Several models have emerged to assist healthcare providers in meeting the challenge of
providing culturally relevant care. Cultural competence is an ongoing learning process as
the providers continuously strive to achieve the best outcomes for patients, families, and
populations.
Culture is "the practices, beliefs, values, and norms which can be learned or shared, and
which guide the actions and decisions of each person in the group”.
Health and disease can vary from culture to culture. Therefore, there is a wide spectrum
of what are considered appropriate interventions. Thus, culture influences the decisions a
provider may make when selecting an intervention based on the cultural perceptions of
disease causation, symptomatology, and pathology.
Care is provided with sensitivity and is based on the cultural uniqueness of clients.
although cultures differ, they all have the same basic organizing factors that must be
assessed in order to provide care for culturally diverse patients. Although cultures differ,
they all have the same basic organizing factors that must be assessed in order to provide
care for culturally diverse patients. These factors include:
• communication (verbal and nonverbal)
• personal space
• social organization
• time perception
• environmental control
• biological variations
Several models have emerged to assist healthcare providers in meeting the challenge of
providing culturally relevant care.
Macro-scale influences: Broad understandings of illness, suffering and healing, Social
roles, and the bureaucratic and economic context of health care services
Micro-scale influences: Face-to-face interaction at the front lines, successful and failed
communication
The essence of health and disease can vary from culture to culture. Therefore, there is a
wide spectrum of what are considered appropriate interventions, which may not be
compatible with Western medicine. Based on the cultures' perceptions of disease
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causation, symptomatology, and pathology, appropriate interventions may diverge from
Western medicine's approach.
The textbook provides many examples of direct cultures' beliefs and their influence in
healthcare. There are some long-standing health disparities in minorities. Minority health
is often viewed as a variant form of Anglo-Protestant culture, with the scientific
foundation and the principles of cause and effect as the basis of our healthcare.
• Cultural competence in nursing consists of four principles:
• Care is designed for the specific client
• Care is based on the uniqueness of the person's culture and includes cultural
norms and values
• Care includes self-employment strategies to facilitate client decision-making to
improve health behaviors
• Care is provided with sensitivity and is based on the cultural uniqueness of clients
Explain how culture impacts provider attitudes? Does it? How will you assess your own
attitudes about various cultures/races/groups?
Bias can occur. Patients of color may be kept waiting longer for assessment or treatment
than their White counterparts, or providers may spend more time with White patients
than with patients of color. Racial/ethnic bias in attitudes, such as feeling that White
people are nicer than Black people, whether conscious or not, can lead to prejudicial
behavior, such as providers taking more time with White patients than Black patients
and therefore learning more about the White patients’ needs and concerns. Assess your
current level of cultural competence (what knowledge, skills, and resources can you build
on? Where are the gaps?) One can take a test to learn more about one’s own bias.
Healthcare is not a “one-size-fits-all” profession. It is important to be sensitive to ways in
which culture and faith impact patients’ healthcare experiences.
One good place to start with all patients is to let them know you want to make them
comfortable and ask them what they need. An attitude of openness and acceptance will
do wonders.
Demonstrating awareness of a patient’s culture can promote trust, better health care,
lead to higher rates of acceptance of diagnoses, and improve treatment adherence.
Health professionals may view clients or patients who are culturally different from
themselves as unintelligent, of differing intelligence, irresponsible, or disinterested in
their health.
By assessing community, aggregate, family, and individual factors and conditions that
strongly influence health, APRNs are better equipped to deliver effective and evidence-
based care. Identifying population-level healthcare needs and disparities can help
improve equality in health outcomes at all levels.
The APN will assess their own attitudes through cultural awareness, cultural humility,
cultural knowledge, cultural skill, and cultural desire. Without reflecting and evaluating
our world's cultural beliefs and practices, the nurse will be subconsciously influenced.
Cultural Awareness: Self-examination of one's own prejudices and biases toward other
cultures. An in-depth exploration of one's own cultural/ethnic background.
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